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This document serves as a formal communication regarding the process to notify the Nuclear Regulatory Commission (NRC) about changes in control or ownership of a licensed organization, including requirements
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Start by obtaining a copy of the FACSIMILE FORM from the appropriate source.
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Ensure you have all necessary information ready such as names, dates, and any specific data required.
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Begin filling out the form by entering your personal or organizational information in the designated sections.
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Carefully read and follow any instructions provided on the form to avoid errors.
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Review the completed form for accuracy before submitting it.
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Submit the form as per the instructions, whether electronically or via mail.

Who needs FACSIMILE FORM?

01
Individuals applying for permits or licenses requiring submission forms.
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Businesses needing to document communications or agreements.
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Organizations that require proper records for legal or administrative purposes.
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A facsimile is an exact copy or a reproduced version of particular images or texts, such as written or printed documents.
What is a facsimile? A facsimile, commonly referred to as a FAX, is the transmission and reproduction of documents through telephone and communication links. The fax machine is designed to scan printed textual and graphic material and then transmit the information through the telephone network to similar machines.
The term "fax" is a shortened form of "facsimile", though most faxes are not reproductions of the quality expected in a true facsimile.
How to Fill Out a Fax Cover Sheet Step 1: Start with Your Contact Information. Step 2: Include the Recipient's Contact Information. Step 3: Add the Date and Time of Transmission. Step 4: Enter the Recipient's Fax Number. Step 5: Indicate the Number of Pages Attached. Step 6: Provide a Subject or Purpose for the Fax.
Your fax number is the number of the phone line connected to the fax. With a fax machine or computer running fax software, the fax number is the phone number of the attached phone line.
Tip: If you're already in Word for the web, get to the fax templates by going to File > New > Browse templates. Scroll down to and select Explore all templates. Search for Fax Covers.

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The FACSIMILE FORM is a document used to report specific information in a standardized format, often required for regulatory or compliance purposes.
Entities or individuals who are subject to the reporting requirements set by regulatory agencies or governing bodies are typically required to file the FACSIMILE FORM.
To fill out the FACSIMILE FORM, individuals must carefully complete each section, providing accurate information as required, and follow any specific instructions provided by the applicable regulatory agency.
The purpose of the FACSIMILE FORM is to ensure compliance by collecting necessary information that regulatory bodies need for oversight, monitoring, or statistical purposes.
The FACSIMILE FORM may require information such as the entity's name, contact details, relevant identification numbers, financial data, and any other specific information outlined by the regulatory agency.
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